pots contemp ocd

Question 1

why is it important

Answer 1

1/200 suffer from ocd and 50% are adults so early treatments may relieve sympts

Question 2

aim

Answer 2

to compare cbt on its own, SSRI (Sertraline) on its own , and both of them combined compared to baseline

Question 3

sample

Answer 3

112, 92% white american volunteers 11-17 mean 11.7- diagnosed DSM-IV

Question 4

describe the exclusion process

Answer 4

severetiy measured using tale brown OCD scale, only scores above 10 inc and children w comorbid disorders like toureets to avoid interaction effects- kids on adhd stimulant meds to have simialr NT levels

Question 5

describe procedure

Answer 5

Interviewed and their baseline measures were taken using the CY-BOCS using independent evaluators
4 conditions - drugs only and placebo req attend first 6 weeks then every other week, cbt 14 sessions and combined same as CBT only and sertraline Ps assessed at basline 4,8,12 weeks

Question 6

results

Answer 6

placebo smallest drop in symp 47, como 12.6 drug alone -7 and cbt alone -12

Question 7

conclusions

Answer 7

cbt best when compared to drugs
minimal gain when inc drugs but drugs compensate for less effective therapy
drugs req careful monitoring SSRI’s linked to suicdal thoughts but was well tolerated
early intervention effective for kids

Question 8

generalisability

Answer 8

large sample and low drop out rate so rep of target pop and analysis of sample showed no dif so any was due to ID
conducted in USA may not generalise to non-western, co-morbid may respond differently

Question 9

relibility

Answer 9

evaluators assessed the childrens symp trained to a reliable standard, scale used was standardised, all cbt had cbt anual to maintain consistency, study was conducted in 3 centres but 1 had better cbt result

Question 10

applications

Answer 10

useful as it provides strong evidence about most effective treatment in kids, values clinical treatments cause and effect findings show cbt effective and sertraline combined, usefullness of psychological therapies SSRI-s suicdal thoughts in some

Question 11

validity

Answer 11

CY-BOCS validated as accurate measure of OCD assessors blind to condition ppt
ppt in placebo unaware so demand charc controlled
randonally allocated so controlled and cause anf effect and high in eco as real therapy

Question 12

ethics

Answer 12

volunteer sample- full written consent as did parents - kids may of been coereced, each ppt assinged psychiatrist to monitor, drug treatment regularly checked and dosages changed, decelption in placebo cost v ben also all placebo offered therapy on completion